CORAL RIDGE CHIROPRRACTIC
NPI 1275714644
Chiropractor in Ft Lauderdale, FL

Active since November 14, 2007
2745 E OAKLAND PARK BLVD, FT LAUDERDALE, FL 33306(956) 363-0161(954) 656-1365 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Chiropractor

About CORAL RIDGE CHIROPRRACTIC

This page provides the complete NPI Profile along with additional information for Coral Ridge Chiroprractic, a provider established in Ft Lauderdale, Florida operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1275714644 assigned on November 2007. The practitioner's primary taxonomy code is 111N00000X with license number CH8419 (FL). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. James E. Jack Dc (Chiropractor)

NPI
1275714644 Verify this NPI
Provider Name
CORAL RIDGE CHIROPRRACTIC
Entity Type
Organization
Location Address
2745 E OAKLAND PARK BLVD FT LAUDERDALE, FL 33306
Location Phone
(956) 363-0161
Location Fax
(954) 656-1365
Mailing Address
2745 E OAKLAND PARK BLVD FT LAUDERDALE, FL 33306
Mailing Phone
(956) 363-0161
Mailing Fax
(954) 656-1365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2007
Last Update Date
11-14-2007
Code Navigator

A chiropractor like Coral Ridge Chiroprractic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
CH8419
License State
FL
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES E. JACK DC

Authorized Official Title
CHIROPRACTOR
Authorized Official Phone
(954) 630-1616

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U66946MEDICARE UPIN (02)FL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
2745 E OAKLAND PARK BLVD
FT LAUDERDALE, FL 33306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275714644, enumerated as an "organization" on November 14, 2007.

The provider is located at 2745 E OAKLAND PARK BLVD FT LAUDERDALE, FL 33306 and the phone number is (956) 363-0161.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.